DIANA B BRAVO - Pharmacist License in Illinois | # 049214474

DIANA B BRAVO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214474

License Status

NOT RENEWED

Business

N

First Name

DIANA

Middle

B

Last Name

BRAVO

Business Name

DIANA B BRAVO

Original Issue Date

11/08/2012

Effective Date

01/16/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019